Provider Demographics
NPI:1245780857
Name:AVERY PARTNERS, INC
Entity Type:Organization
Organization Name:AVERY PARTNERS, INC
Other - Org Name:AVERY REHAB GAINSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OUTPATIENT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIVES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:859-585-3002
Mailing Address - Street 1:1805 OLD ALABAMA RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2259
Mailing Address - Country:US
Mailing Address - Phone:770-642-6100
Mailing Address - Fax:678-367-4603
Practice Address - Street 1:1805 OLD ALABAMA RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2259
Practice Address - Country:US
Practice Address - Phone:770-642-6100
Practice Address - Fax:678-367-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686931Medicare PIN